Individual provider Active NPI

Lisa Lorraine Ritenour, F.N.P.

  • Family Health Clinical Nurse Specialist
  • Canton, OH
National Provider Identifier
1578853354
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
12212-NP Issued in OH
Practice address
4048 Dressler Rd NW
Suite 100
Canton, OH 44718-2784
Phone
(330) 479-3333
Fax
(330) 479-3334
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 12212-NP OH Primary

Addresses

Primary practice location

4048 Dressler Rd NW
Suite 100
Canton, OH 44718-2784

Mailing address

4048 Dressler Rd NW
Suite 100
Canton, OH 44718-2784
Phone (330) 479-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12212-NPOHMDFamily Health Clinical Nurse Specialist

Interoperability endpoints

  • Direct secure messaging: lisa.ritenour@wrhs.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1578853354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 DRESSLER RD NW",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182784",
            "telephone_number": "330-479-3333",
            "fax_number": "330-479-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 DRESSLER RD NW",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182784",
            "telephone_number": "330-479-3333",
            "fax_number": "330-479-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITENOUR",
        "first_name": "LISA",
        "middle_name": "LORRAINE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "OH",
            "license": "12212-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.